فهرست مطالب

International Journal of Medical Laboratory
Volume:10 Issue: 1, Feb 2023

  • تاریخ انتشار: 1402/01/19
  • تعداد عناوین: 8
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  • الهه پیرزاده، سید حمید آقایی بختیاری، ندا یعقوبی، علی محمودی، لیدا جراحی، عباس عبداللهی، سید اسحاق هاشمی، سید مهدی حسنیان، فرناز زاهدی اول* صفحات 35-45
    مقدمه

    سرطان کولورکتال (CRC) یکی از شایع ترین سرطان ها در انسان است که هنوز پاتوژنز آن مبهم است. MiRNA ها از نظر فیزیولوژیکی فرآیندهای متابولیک مختلف را تنظیم می کنند و نشان داده شده است که در طیف وسیعی از سرطان ها تیغیر پیدا می کنند. تحقیق حاضر برای ارزیابی miR-1 به عنوان نشانگر زیستی برای CRC انجام شد.

    مواد و روش ها:

     نمونه های CRC و بافت مجاور از 24 بیمار گرفته شد. علاوه بر این، سرم از گروه بیمار و 24 گروه کنترل سالم همسان با سن و جنس جمع آوری شد. RNA کل از نمونه های بافت استخراج و cDNA سنتز شد. بیان miR-1 با Real-time PCR تعیین شد. سطوح سرمی آنتی ژن کارسینومبریونیک (CEA) با استفاده از کیت تجاری اندازه گیری شد.

    نتایج

    سطح miR-1 در تومورهای CRC به طور قابل توجهی کاهش یافت. MiR-1 تفاوت معنی داری را در اندازه های مختلف تومور نشان داد. علاوه بر این، کاهش بیان miR-1 در بیماران مبتلا به متاستاز بیشتر از بیماران بدون متاستاز بود. اما این تفاوت از نظر آماری معنی دار نبود.

    نتیجه گیری:

     این مطالعه نشان داد که سطح miR-1 در بیماران مبتلا به سرطان کولورکتال کاهش می یابد که پتانسیل آن را دارد که به عنوان یک نشانگر زیستی برای این سرطان در نظر گرفته شود. به موازات CEA سنجش miR-1 ممکن است داده های بیشتری را در مدیریت و پیگیری بیماران ارایه دهد، هرچند، چنین کاربرد بالینی نیاز به مطالعات بیشتری دارد.

    کلیدواژگان: نشانگر زیستی، آنتی ژن کارسینوامبریونیک، کانسر کولورکتال، mir-1
  • محمد شکوهیان*، حسین مزدارانی، مسعود سلیمانی، مجید صفا، محمدرضا رضوانی صفحات 46-56
    هدف

    یکی از منابع استم سل جهت پیوند، سلول های بندناف می باشد،شیوع شکست کروموزومی یک رشته یا دو رشته یکی از موانع مهم در ثکثیر سلول های بندناف می باشد. شکست کروموزومی می تواند نتایج ناخواسته از جمله موتاسیون، مرگ سلولی را به دنبال داشته باشد. مطالعه کنونی به منظور بررسی صدمات به DNA و ژنهای مشارکت کننده در ترمیم DNA پس از کشت سلولی انجام شده شده است.

    روش ها و متدها : 

    خون بندناف با روش MACS جدا شده با روش فلوسیتومتری مرگ سلولی بررسی شد. برای برسی شکست کروموزومی از روش comet assay استفاده شد

    نتایج

    تعداد سلولها بعد از کشت به مدت سه روز 9/1 برابر شد. تعداد سلولهای مرده کم و قابل اغماض (2/0%) می باشد. با بررسی ژنهای دخیل در ترمیم DNA مثل  KU70 ، KU80،RAD51 و XRCC1 مشخص شدافزایش قابل توجه ای نداشته است.

    نتیجه گیری

    شکست کروموزومی قابل توجه و صدمه به DNA ملاحظه نشد.

    کلیدواژگان: Comet assay تست، ژن Ku80، ژن KU70
  • زینب قره داغی، شقایق رستمی* صفحات 57-66
    زمینه و هدف

     بتا تالاسمی گروهی از اختلات هموگلوبینی است که فرم هموزیگوت آن به عنوان تالاسمی ماژور بتا شناخته می شود. هدف از این مطالعه ارزیابی پارامترهای هماتولوژی و بیوشیمیایی در بیماران تالاسمی ماژور شهر بوشهر می باشد.

    مواد و روش ها

    در این مطالعه 94 بیمار تالاسمی ماژور بتا با 94 فرد سالم (کنترل) مقایسه شد. ارزیابی های هماتولوژی شامل Hb ، Hct، MCV، MCH  و MCHC بودند. پارامترهای بیوشیمیایی شامل تست های عملکرد کلیه، کبد، تیرویید، پروفایل لیپیدی، آلبومین (Alb)، سدیم (Na) ، پتاسیم (K)، کلسیم (Ca)، فسفر (Ph)، قند خون ناشتا (FBS) و فریتین سرم بود.

    نتایج

    در بیماران تمام پارامترهای هماتولوژی Hb،Hct ، MCH و MCV در مقایسه با گروه کنترل کاهش معنی داری داشتند (P<0.05) به جز MCHC که تفاوت ناچیزی با گروه کنترل داشت (P>0.05). سطح سرمی TG، Ph، FBS، AST، ALT، ALP،  UAو  Biliدربیماران  مقایسه با گروه کنترل بالاتر بود و  سطح سرمی کلسترول (Chol)، لیپوپروتیین با چگالی بالا (HDL) و لیپوپروتیین با تراکم پایین (LDL) در بیماران در مقایسه با گروه کنترل پایین تر بود (P<0.05). بین سطح سرمی  Na،K ، Ca و Alb در بیماران در مقایسه با گروه کنترل تفاوت معناداری مشاهده نشد. شیوع هایپوتیروییدیسم اولیه 5.31% گزارش شد.

    نتیجه گیری

     این مطالعه تاکید می کند که پیگیری و ارزیابی منظم  بیماران تالاسمی ماژور می تواند پروتکل های درمانی را بهبود ببخشد.

    کلیدواژگان: اضافه بار آهن، بتا تالاسمی ماژور، پارامترهای بیوشیمیایی
  • نفیسه حیدری کلوانی، سودابه فلاح، فرشته برجسته، الهام بحرینی* صفحات 75-82
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  • Homayoon Bashiri, Mahsa Madani, Lotfollah Asgari, Arezoo Bozorgomid* Pages 1-6
    Background and Aims

    Limited information is available on the frequency of advanced adenomas in diminutive colon polyps. Thus, this study aimed to investigate the pathological characteristics and the frequency of high-grade dysplasia in diminutive colorectal polyps in individuals referred to colonoscopy examination in Kermanshah, Iran.

    Materials and Methods

    Demographics characteristics, location and diameter of the polyp, histological assessment of the polyps, grade, and others were retrieved from colonoscopy reports.

    Results and Conclusions

    During the study period, 250 diminutive colorectal polyps were detected. The histological assessment showed that 36.4% were adenomatous, 32.8% were hyperplastic, and 30.8% were inflammatory polyps. Only two diminutive polyps (0.8%) had high-grade dysplasia, and the frequency of adenocarcinoma in our study was 0.4%. Besides, the frequency of adenomatous polyps was higher in the proximal versus the distal colon. These findings emphasize the urgent need for a colorectal cancer screening plan in the Iranian population to improve therapeutic outcomes.

    Keywords: Adenomatous polyps, Colonoscopy, Diminutive colorectal polyps, Histopathology
  • Kaveh Tari, Ayat Abbasi-Shahkouh, Seyedeh Fatemeh Azghadi, Kimiya Rashidan, Zahra-Sadat Mousavi, Mobarakeh Ajam-Hosseini, Reyhaneh Abriyan, Amir Atashi* Pages 7-22

    Neutrophils are innate immune system phagocytes that play a central role in immunity defense. They are equipped with effective antimicrobial that is mainly stored in specialized granules. Considering that, it can also damage host tissue. Neutrophil deployment is heavily regulated through various strategies, including phagocytosis, reactive oxygen species, production degranulation, and the formation of neutrophil extracellular traps (NET). This review article will discuss its role in inflammatory, autoimmune diseases, and cancer and place it as a therapeutic target. It depicts that NET formation includes a suicide program morphologically different from other types of cell death, such as apoptosis and necrosis. Besides, NETs have unique DNA and antimicrobial peptide structures, and antimicrobial activity is among the functions of neutrophils as the first response to inflammation. So, it plays a pivotal role in the pathophysiology of various diseases, especially inflammatory and autoimmune diseases such as systemic lupus erythematosus and rheumatoid arthritis. As a result, it can be effective in the pathogenesis of many diseases, and its pathogenic role can be used as a therapeutic target.

    Keywords: Autoimmune, Inflammatory, Neutrophil, Neutrophil extracellular traps
  • Yasaman Issazadeh, Mohadeseh Farnaghizad, Sarvenaz Falsafi, Hoora Mazaheri, Shokoofeh Ghazi, Ava Behrouzi* Pages 23-34
    Background and Aims

    Hospital infections and their antibiotic resistance have become a global concern recently. One of the most prominent factors in hospital infections is Pseudomonas aeruginosa (P. aeruginosa), which can become resistant to many antibiotics due to its ability to form biofilms. Recently, scientists have tried to replace antibiotic therapy with alternative therapies such as probiotics which can reduce or eliminate the pathogenic bacteria's ability to form biofilms. Therefore, the present study revealed that some genes, such as algD
    and PpyR, were involved in biofilm formation in P. aeruginosa. Furthermore, the inhibitory effect of the supernatant of lactobacillus agilis on the biofilm formation of P. aeruginosa was evaluated in the current study.

    Materials and Methods

    In this study, the effect of the supernatant of probiotic Lactobacillus agilis on the biofilm formation of P. aeruginosa and also the expression of two genes effective in biofilm formation (algD and PpyR) were investigated. Antibiograms were performed to detect the most resistant bacteria since there is a link between biofilm formation and antibiotic resistance. Further, the effects of probiotics on the expression of PpyR and algD genes were discussed.

    Results

    Results showed that the biofilm formation of P. aeruginosa was significantly reduced in the presence of lactobacillus agilis.

    Conclusions

    According to the current study, it could be concluded that because of antibiotics resistance and their associated mechanisms, probiotics could be used as a replacement for antibiotics in many treatments.

    Keywords: algD, Biofilm, Gene expression, PpyR, Pseudomonas aeruginosa
  • Elahe Pirzadeh, Seyed Hamid Aghaee-Bakhtiari, Neda Yaghoubi, Ali Mahmoudi, Lida Jarahi, Abbas Abdollahi, Seyed Isaac Hashemy, Seyed Mahdi Hassanian, Farnaz Zahedi Avval* Pages 35-45
    Background and Aims

    Colorectal cancer (CRC) is one of the most common human cancers. Currently, carcinoembryonic antigen (CEA) is used as the main standard biomarker of CRC, though this biomarker is not specifically made for CRC and, in a minority of cases, shows inadequate sensitivity. Therefore, searching for novel accessory biomarkers may fill these gaps in clinical management. miRNAs physiologically regulate various metabolic processes and are misregulated in various cancers. Therefore, the present investigation was conducted to evaluate miR-1 levels in CRC samples.

    Materials and Methods

    The CRC and adjacent tissue samples were obtained from 24 patients. In addition, sera were collected from the patient group and 24 healthy controls. Total RNA was extracted from tissue samples, and cDNA was synthesized. Real-time PCR determined the expression of miR-1. Serum levels of CEA were also measured using a Monobind ELISA assay kit.

    Results

    The level of miR-1 in CRC tumors was significantly down-regulated. Moreover, patients with metastasis showed lower expression of miR-1 compared to cases without metastasis; however, this difference was not statistically significant. The ROC curve for miR-1 showed an AUC of 0.69. In addition, ROC analysis revealed a sensitivity of 70.27% and a specificity of 62.96% for miR-1.

    Conclusion

    There is still a need for new upcoming markers in addition to the main CRC biomarker, CEA. The levels of miR-1 in colorectal cancer tissue samples may provide additional information for the management and follow-up of CRC patients; though, the clinical application needs further studies.

    Keywords: Carcinoembryonic antigen, Colorectal cancer, miR-1, Tumor biomarker
  • Mohammad Shokouhian*, Hossein Mozdarani, Masoud Soleimani, Majid Safa, MohammadReza Rezvany Pages 46-56
    Background and Aims

    The occurrence of single and double-strand breaks of DNA damage is the major obstacle for proliferation under various environmental factors and, if not repaired, can result in many consequences, including mutation, cell death, and others. So, the present study was conducted to evaluate the damage of DNA and the expression status of DNA repair system genes before and after stem cell proliferation.

    Materials and Methods

    The MACS method isolated the umbilical cord blood hematopoietic stem cells (UCB-HSCs). In order to investigate cell death, the study of Annexin V/PI was done by flow cytometry. Comet assay made observation and identification of DNA breaks, and the expression of genes normally involved in the repair of DNA breaks was evaluated by real-time polymerase chain reaction.

    Results

    The average number of stem cells increased by 1.9-fold after three days of proliferation. The apoptotic percentage of cells was negligible (less than 0.2%), and the purity of the CD34+ cells was reduced by about one-third in three days (67%). By examining the expression of DNA repair genes, including KU70, KU80, RAD51, and XRCC1, their increased fold change was not significant. In a microscopic examination of stem cells in the comet assay, there was no significant difference between DNA damage before (1.33% ± 0.31) and after (2.08% ± 0.92) replication.

    Conclusion

    In our investigation, neither DNA damage nor changes in the DNA break repair were observed. However, further studies are required to clarify the DNA break repair by recruiting more UCB-HSCs samples.

    Keywords: Cord blood stem cells, DNA damage, Comet assay, Ku80, KU70
  • Zeynab Gharehdaghi, Shaghayegh Rostami* Pages 57-66
    Background and Aims

    β-thalassemia is the most common genetic disorder worldwide. β-thalassemia major results in severe anemia and serious complications. So, this study aims to evaluate the hematological and biochemical markers in β-thalassemia major patients in Bushehr city.

    Materials and Methods

    Our study included 94 transfusion-dependent β-thalassemia major were compared with 94 normal healthy subjects as controls. Hematological assessments included complete blood count indices. The biochemical evaluations included liver, kidney, and thyroid function tests, lipid profile, sodium, potassium, calcium, phosphorus, fasting blood sugar, and serum ferritin.

    Results

    All hematological parameters in patients, such as hemoglobin (p < 0.01), hematocrit (p < 0.01), mean corpuscular volume (p < 0.05), and mean corpuscular hemoglobin (p <0.05), were significantly reduced compared to the control group except mean corpuscular hemoglobin concentration which was insignificant (p > 0.05). Higher levels of triglyceride, phosphorus, fasting blood sugar, aspartate aminotransferase, alanine transaminase, alkaline phosphatase, uric acid, total and direct bilirubin, and lower levels of cholesterol, high-density lipoprotein, and low-density lipoprotein were observed in patients in comparison to the control group (p < 0.05). Serum sodium, potassium, calcium, and albumin was not significantly different from the control group (p > 0.05). The prevalence of primary hypothyroidism (thyroid stimulating hormone > 4.5 mIU/l and T4 < 5.6 μg/dl) was reported at 5.31%.

    Conclusions

    This study emphasized the necessity for regular follow-up and evaluation of β-thalassemia, which could be used to improve treatment protocols.

    Keywords: Hematological characteristics, Iron overload, Serum ferritin, β-thalassemia major
  • Erfan Zaker*, Fateme Zare, Seyed Hossein Hejazi, Hossein Khanahmad, Seyed Mehdi Kalantar Pages 67-74
    Background and Aims

    A monoclonal antibody (mAb) can unambiguously identify, quantify, and purify an antigen or particular epitope at a large scale. The superiority of these antibodies lies in their specificity for the antigenic determinant. So, this study aims to prepare mouse mAb-secreting hybridoma against human gamma interferon (IFN-γ) and determine the produced antibody's characters.

    Materials and Methods

    Mouse splenic B lymphocytes immunized with recombinant human IFN-γ were fused with mouse SP2/0 cells. The hybridized cells were selected by hypoxanthine-aminopterin-thymidine and hypoxanthine-thymidine media to obtain monoclonal antibody-producing hybridoma cells. Finally, indirect enzyme-linked immunosorbent assay (ELISA), sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE), and western blot were used to confirm the creation of antibody-secreting hybridoma cells.

    Results

    mAb against IFN-γ were produced by fusing SP2/0 mouse non-secretory myeloma cell line with the spleen cells of immunized mice. This antibody's indirect ELISA optical density was 2.055 on average, and the desired antibody bands were confirmed in SDS-PAGE compared to Septicol® (commercial antibody). Also, in the western blot, the desired antibody could bind to the antigen. IFN-γ transferred on nitrocellulose membrane. In ELISA and western blot tests, anti-mouse IgG conjugated antibodies were used; therefore, the mAb IgG isotype was taken into consideration.

    Conclusion

     In this study, a mouse mAb was obtained by immunization of Balb/C mice and fusion of spleen cells of these mice with the SP2/0 cells, which can specifically bind to recombinant human IFN-γ and can be used to detect IFN-γ secretion in all types of intracellular infections, including latent tuberculosis.

    Keywords: Hybridoma, IFN-γ, Monoclonal antibody, SP2, 0
  • Nafiseh Heidari-Kalvani, Sudabeh Fallah, Fereshte Barjasteh, Elham Bahreini* Pages 75-82
    Background and Aims

    The concomitant use of antioxidants during chemotherapy is controversial. It is unknown whether antioxidants increase or decrease the effectiveness of anticancer drugs. Therefore, the present study aimed to investigate ubiquinone's cytotoxic and antioxidant effects on the HepG2 cell line.

    Materials and Methods

    The HepG2 cell line was chosen as an experimental model for hepatocellular carcinoma in this study. The cytotoxic effect of ubiquinone was assessed as a function of time and concentration using the colorimetric MTT assay. The half-maximal inhibitory concentration (IC50) was determined to assess the cytotoxic effects of different ubiquinone concentrations. The protective impacts of ubiquinone on HepG2 cells were evaluated by assessing the oxidative stress profile.

    Results

    The MTT showed that the IC50 after treatment with ubiquinone was 350 and 335 μM at 24 and 48 hours, respectively. Evaluation of redox homeostasis in HepG2 cells using three doses of ubiquinone, including IC50 and one dose higher and one dose lower than IC50, showed a decrease in oxidative stress and an increase in the antioxidant capacity of HepG2 cells in a dose-dependent manner (p < 0.01). An increase in redox hemostasis decreased the viability of HepG2 cells.

    Conclusion

    Our results showed ubiquinone could reduce cancer cell survival by interfering in redox oxidative-redox status. Therefore, ubiquinone can be used as an antioxidant supplement along with chemotherapy drugs.

    Keywords: Hepatocellular carcinoma, HepG2 cell line, Oxidative stress, Ubiquinone